How much rates vary
Facilitymedian $115 · 10th to 90th $54 to $407Professionalmedian $68 · 10th to 90th $49 to $102
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $47.86 Median $53.70 Typical High $104.71 | Facility | None | $47.86 | $53.70 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $53.70 Typical High $64.57 | Professional | None (both parts) | $47.86 | $53.70 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $22.91 Typical High $27.54 | Professional | 26 · Professional part | $20.89 | $22.91 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $30.20 Typical High $37.15 | Professional | TC · Technical part | $27.54 | $30.20 | $37.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $48.98 Median $57.54 Typical High $83.18 | Professional | None (both parts) | $48.98 | $57.54 | $83.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $44.67 Median $70.79 Typical High $93.33 | Professional | None (both parts) | $44.67 | $70.79 | $93.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.84 Typical High $58.88 | Professional | 26 · Professional part | $23.99 | $28.84 | $58.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $44.67 Typical High $67.61 | Professional | TC · Technical part | $39.81 | $44.67 | $67.61 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $63.10 Median $66.07 Typical High $75.86 | Professional | None (both parts) | $63.10 | $66.07 | $75.86 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.18 Typical High $32.36 | Professional | 26 · Professional part | $26.92 | $28.18 | $32.36 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $38.90 Typical High $43.65 | Professional | TC · Technical part | $35.48 | $38.90 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $61.66 Typical High $91.20 | Professional | None (both parts) | $53.70 | $61.66 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $25.70 Typical High $38.02 | Professional | 26 · Professional part | $23.99 | $25.70 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $35.48 Typical High $52.48 | Professional | TC · Technical part | $30.20 | $35.48 | $52.48 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $128.82 Typical High $346.74 | Facility | None | $66.07 | $128.82 | $346.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $53.70 Median $74.13 Typical High $398.11 | Professional | None (both parts) | $53.70 | $74.13 | $398.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.99 Typical High $165.96 | Professional | 26 · Professional part | $20.89 | $23.99 | $165.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $48.98 Typical High $257.04 | Professional | TC · Technical part | $30.20 | $48.98 | $257.04 |
United Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $446.68 | Facility | None | $416.87 | $416.87 | $446.68 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $67.61 Typical High $79.43 | Professional | None (both parts) | $47.86 | $67.61 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.44 Typical High $33.88 | Professional | 26 · Professional part | $20.89 | $23.44 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $45.71 Typical High $51.29 | Professional | TC · Technical part | $26.92 | $45.71 | $51.29 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $26.92 Typical High $30.20 | Professional | 52 · Reduced service | $23.99 | $26.92 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $10.72 Typical High $12.02 | Professional | 53 · Discontinued | $9.55 | $10.72 | $12.02 |
Where Missouri sits
The same service costs 3.5 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Missouri· 23rd of 51
$67.61
AK $162FL $45.71
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.